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Nutritional concerns in critically ill burn patients 危重烧伤患者的营养问题
Pub Date : 2015-07-01 DOI: 10.4103/2278-1870.162174
Sukhminder Jit Bajwa, Gurpreet Kaur
Nutritional issues in critical care are very important for the better prognosis of patients. These concerns are further heightened if critically ill patients are admitted with co-morbidities and deranged physiology. A similar scenario is encountered when patients with burns are admitted in Intensive Care Units (ICU) for one indication or the other. Their short and long-term prognosis mainly depends on prevention of infection and maintenance of optimal nutritional status. The aim of the current manuscript is to review some of the challenging aspects in critically ill-patients admitted in ICU with history of burns.
重症监护中的营养问题对患者的预后非常重要。如果危重患者入院时伴有合并症和生理紊乱,这些担忧会进一步加剧。当烧伤患者因一种或另一种指征而被送入重症监护病房(ICU)时,也会遇到类似的情况。他们的短期和长期预后主要取决于预防感染和维持最佳营养状态。当前手稿的目的是回顾一些具有烧伤史的重症患者在ICU住院的挑战方面。
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引用次数: 1
Study of efficacy of intravenous iron sucrose in patients with moderate iron deficiency anemia in pregnancy 静脉注射蔗糖铁治疗妊娠期中度缺铁性贫血的疗效观察
Pub Date : 2015-07-01 DOI: 10.4103/2278-1870.162173
S. Raut, Parag Biniwale
Introduction: Iron deficiency continues to be one of the most prevalent single nutrient deficiencies in the world. In the case of pregnant population, treatment of iron deficiency anemia efficiently would lead to a considerable reduction in the risk factors affecting maternal and fetal outcome. Materials and Methods: In this retrospective, case control study; the data of pregnant women who have received uniform dose of Intravenous and oral therapy for proven moderate iron deficiency anemia in the second trimester were studied for efficacy and safety parameters. The hemoglobin levels before and after initiating treatment in both groups were compared. Results and Conclusions: Intravenous and oral; both the treatments were associated with increment in hemoglobin but this rise was significantly more in the intravenous group than in oral. Comparing participants with low pretreatment hemoglobin among both groups, participants in the intravenous group were better benefited than oral due to respective treatment. Further it is found that hemoglobin increment is inversely proportional to the pretreatment hemoglobin irrespective of route of administration. Also intravenous iron is better tolerated compared to oral iron. So it can be concluded that intravenous iron therapy is much effective in correcting iron deficiency anemia in pregnancy than oral iron therapy.
铁缺乏仍然是世界上最普遍的单一营养素缺乏症之一。在怀孕人群中,有效治疗缺铁性贫血可显著减少影响母胎结局的危险因素。材料与方法:回顾性病例对照研究;研究了在妊娠中期接受均匀剂量静脉注射和口服治疗中度缺铁性贫血的孕妇的疗效和安全性参数。比较两组患者治疗前后血红蛋白水平。结果与结论:静脉注射和口服;两种治疗方法均与血红蛋白升高有关,但静脉注射组的血红蛋白升高明显高于口服组。对比两组前处理血红蛋白较低的患者,静脉注射组由于各自的治疗方式,获益优于口服组。进一步发现血红蛋白增量与预处理血红蛋白成反比,与给药途径无关。静脉注射铁比口服铁耐受性更好。由此可见,静脉补铁治疗妊娠期缺铁性贫血比口服补铁治疗更有效。
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引用次数: 2
Transition clinics in women with polycystic ovary syndrome 多囊卵巢综合征妇女的过渡诊所
Pub Date : 2015-07-01 DOI: 10.4103/2278-1870.162171
B. Kalra, M. Baruah, Y. Gupta
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引用次数: 0
Fatty acid saturation profiles and lipid contents of muscles from six popular culinary fish species sold in Umuahia, Nigeria 脂肪酸饱和概况和脂肪含量的肌肉从六种流行的烹饪鱼类在乌穆阿希亚出售,尼日利亚
Pub Date : 2015-07-01 DOI: 10.4103/2278-019X.151807
C. Ejike, Onyedikachi E Mbaraonye, Ebere R Enyinnaya
Introduction: Fish oils, containing mainly poly-unsaturated fatty acids (PUFA), are reported to be nutri-medically beneficial. There is however little or no data on the lipid contents of, and fatty acids present in, culinary fish species consumed in Umuahia, Nigeria, hence this study. Methods: The fatty acid saturation profiles and lipid contents of Scomberomorus maculatus (Mitchill, 1815), Micropogonias undulatus (Linnaeus 1766), Chrysichthys nigrodigitatus (Lacepede: 1803), Trichiurus japonicus (Temminck and Schlegel, 1844), Sardinella pilchardus (Walbaum, 1792), and Prochilodus lineatus (Valenciennes, 1836), all culinary fishes consumed in Umuahia were studied using standard procedures. Results: C. nigrodigitatus had the highest crude lipid content (21.1 ± 1.1%) followed by S. pilchardus (20.4 ± 0.6%) and P. lineatus (20.1 ± 1.0%). S. maculatus and T. japonicus had the lowest crude lipid content (~13.3% each). PUFA were most abundant in S. maculatus (40.5 ± 0.4%) and T. japonicus (39.9 ± 0.5%), but least abundant in S. pilchardus and C. nigrodigitatus (~6.0% each). Linolenic and palmitic acids were the most abundant PUFA and saturated fatty acid, respectively, in the studied fish species. Conclusion: S. maculatus and T. japonicus are the most nutri-medically desirable fishes of the six studied species.
鱼油主要含有多不饱和脂肪酸(PUFA),据报道具有营养和医学上的益处。然而,关于尼日利亚乌穆阿希亚食用的烹饪鱼类的脂质含量和脂肪酸含量的数据很少或没有,因此进行了这项研究。方法:采用标准方法对乌莫亚地区食用的黄斑鲭鱼(Mitchill, 1815年)、波状小须鱼(Linnaeus, 1766年)、黑斑蝶鱼(Lacepede, 1803年)、日本毛鲷(Temminck and Schlegel, 1844年)、沙丁鱼(Walbaum, 1792年)和细鳞鳞鱼(valciennes, 1836年)的脂肪酸饱和度和脂质含量进行了研究。结果:粗脂肪含量最高的是黑趾棘鱼(21.1±1.1%),其次是粗鳍棘鱼(20.4±0.6%)和细鳍棘鱼(20.1±1.0%)。粗脂肪含量最低的是斑马鱼(S. maculatus)和刺参(T. japonicus),各为~13.3%。PUFA含量最高的是斑纹棘猴(40.5±0.4%)和日本棘猴(39.9±0.5%),最低的是粗齿棘猴和黑齿棘猴(~6.0%)。亚麻酸和棕榈酸分别是所研究鱼类中最丰富的PUFA和饱和脂肪酸。结论:黄斑棘鱼和日本棘鱼是6种鱼类中营养价值最高的。
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引用次数: 5
Primordial prevention of atherosclerotic vascular disease: Preventing the “pre-event” 动脉粥样硬化性血管疾病的原始预防:预防“事前”
Pub Date : 2015-07-01 DOI: 10.4103/2278-1870.162169
M. Baruah, S. Kalra, B. Kalra
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引用次数: 0
Nutritional Issues in Neurointensive care 神经重症监护中的营养问题
Pub Date : 2015-07-01 DOI: 10.4103/2278-1870.162170
Sukhminder Jit Bajwa, A. Kulshrestha
Acute and chronic neurological diseases are associated with a high incidence of malnutrition due to the stress response created by them. Early recognition of nutritional deficiency by careful assessment of nutritional status by various means is essential. These patients may have decreased intake, disease related changes in resting energy expenditure, and effect of drug therapy on food intake, all of which predisposes for undernutrition. Enteral route of nutrition is the preferred route for supplementation of nutrition in these patients however, parenteral route also can be utilised if the enteral route is contraindicated. A close monitoring of the patient on nutrition supplementation is required to prevent complications of nutrition. A reassessment of nutritional status is required in the chronic phase of these neurological diseases as diseases related reduction in resting energy expenditure and requirements may lead to overnutrition and obesity.
由于急性和慢性神经系统疾病造成的应激反应,它们与营养不良的高发率有关。通过各种方法仔细评估营养状况,及早发现营养缺乏是至关重要的。这些患者可能有摄取量减少、疾病相关的静息能量消耗变化以及药物治疗对食物摄取量的影响,所有这些都容易导致营养不良。肠内营养途径是这些患者补充营养的首选途径,但如果肠内途径有禁忌,也可以采用肠外途径。需要密切监测患者的营养补充情况,以防止营养并发症。在这些神经系统疾病的慢性期,需要重新评估营养状况,因为疾病相关的静息能量消耗和需求减少可能导致营养过剩和肥胖。
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引用次数: 0
Effect of different household processing on nutritional and anti-nutritional factors in Vigna aconitifolia and Sorghum bicolour (L.) Moench seeds and their product development 不同家庭加工方式对乌头和高粱营养和抗营养因子的影响芒奇种子及其产品开发
Pub Date : 2015-07-01 DOI: 10.4103/2278-019X.151809
E. Singh, P. Jain, Swapnil Sharma
Aim: This study involves the effect of different household processing on nutritional and anti-nutritional factors in moth bean (Vigna aconitifolia) and Sorghum (Sorghum bicolour (L.) Moench) seeds and with their product development. Methods: This study involves the effect of different homemade processing of moth and Sorghum on proximate composition and anti-nutritional factors and further development of certain products using processed moth and Sorghum flours. Results: During the process of soaking, the moisture content, and vitamin C contents were found to be increased; with a significant decrease in ash content, fat content, crude fiber content, protein content in both samples (except iron content). In moth bean, 72 h germination process resulted in a decrease in moisture content, fat content, crude fiber content, with an increase in ash content, protein content, iron content, and vitamin C contents whereas in Sorgum all the contents were decreased except moisture content, and vitamin C contents. Ash content, protein content, iron content and vitamin C content with a significant decrease in moisture content, fat content, and fiber content. After processing, the anti-nutritional factors were also decreased in both samples. The modified recipes with the processed moth bean, Sorghum, and blended flours were developed as thalpeeth and papri-chat and acceptability studies of products were carried out and compared with standard. It was found that all samples were acceptable to panel members making then quality for the potential usage as delivery vehicles for use gluten allergy, scurvy, and malnourished children. Conclusion: We can conclude that moth bean and Sorghum to our diet will help to improve the nutritional profile at low cost.
目的:研究不同家庭加工方式对飞蛾豆(Vigna aconitifolia)和高粱(Sorghum bicolour, L.)营养因子和抗营养因子的影响。Moench)种子及其产品开发。方法:研究了不同的国产蛾粉和高粱粉加工方法对其近似成分和抗营养因子的影响,并进一步开发利用蛾粉和高粱粉加工的某些产品。结果:在浸泡过程中,水分含量、维生素C含量均有所增加;两种样品的灰分含量、脂肪含量、粗纤维含量、蛋白质含量(铁含量除外)均显著降低。蛾豆萌发72 h后,水分、脂肪、粗纤维含量降低,灰分、蛋白质、铁和维生素C含量升高,而高粱除水分和维生素C含量外,其余均降低。灰分含量、蛋白质含量、铁含量和维生素C含量显著降低,水分含量、脂肪含量和纤维含量显著降低。加工后,两种样品的抗营养因子均有所降低。以加工过的蛾豆、高粱和混合面粉为原料,研制出了改良配方,并对产品进行了可接受性研究,并与标准进行了比较。小组成员发现,所有样品都是可接受的,使其具有潜在的质量,可以用作麸质过敏、坏血病和营养不良儿童的运送工具。结论:饲粮中添加飞蛾豆和高粱能以较低的成本改善飞蛾的营养状况。
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引用次数: 12
Efficacy of Ayurvedic remedies in type 2 diabetes: A review through works done at Gujarat Ayurved University, Jamnagar 阿育吠陀治疗2型糖尿病的疗效:贾姆纳格尔古吉拉特邦阿育吠陀大学的研究综述
Pub Date : 2015-07-01 DOI: 10.4103/2278-019X.151812
Rohit Sharma, Hetal Amin, G. Ruknuddin, P. Prajapati
Prevalence of diabetes mellitus (DM) is rapidly rising throughout the globe at an alarming rate, where India leads with largest number of diabetics and became diabetes capital of the world. Currently available conventional options for diabetes have certain limitations; considering which options from alternative resources are being searched to meet the need. Ayurveda, the traditional system of Indian subcontinent hold huge number of remedies that can be useful in the treatment of diabetes and associated complications. To revalidate the actual efficacy of these formulations in DM (~Madhumeha); many studies have been carried out at different research centers of India. The current attempt is aimed to compile such works done at two Post Graduate institutes of Gujarat Ayurved University during 2000-2013. These studies aimed at establishing the impact of various Ayurvedic treatment modalities viz. Shodhana (purification/cleansing procedures) and Shamana (pacifying medicinal treatment) etc., in DM. These therapies were found to increase quality of life, significantly effective and clinically safe as no adverse drug reactions were reported during the treatment period.
糖尿病(DM)的患病率在全球范围内以惊人的速度迅速上升,其中印度是糖尿病患者人数最多的国家,成为世界糖尿病之都。目前可用的常规糖尿病治疗方案有一定的局限性;考虑正在从其他资源中寻找哪些备选办法以满足需要。印度次大陆的传统体系阿育吠陀拥有大量的疗法,可以用于治疗糖尿病和相关并发症。重新验证这些制剂在DM中的实际疗效(~Madhumeha);在印度不同的研究中心进行了许多研究。目前的尝试旨在汇编2000年至2013年期间在古吉拉特邦阿育尔夫大学的两个研究生研究所所做的这些工作。这些研究旨在确定各种阿育吠陀治疗方式的影响,即Shodhana(净化/清洁程序)和Shamana(安抚药物治疗)等,在糖尿病中。这些疗法被发现可以提高生活质量,显着有效和临床安全,因为在治疗期间没有报告不良药物反应。
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引用次数: 15
Pattern and determinants of the weight status of school-age children from rural and urban communities of Osun state, Nigeria: A comparative study 尼日利亚奥松州农村和城市社区学龄儿童体重状况的模式和决定因素:一项比较研究
Pub Date : 2015-07-01 DOI: 10.4103/2278-019X.151800
A. Adeomi, O. Adeoye, J. Bamidele, O. Abodunrin, O. Odu, Olaitan Abolanle Adeomi
Background: Owing to progressive urbanization and the associated changes in lifestyle, childhood overweight/obesity is becoming a challenging problem in many emerging countries while malnutrition is far from being over. This study, which was carried out in the school setting, therefore, aimed to compare the pattern and determinants of the weight status of school-age children from rural and urban communities of Osun State, Nigeria. Methodology: A total of 300 respondents each was selected from a rural and an urban community using multi-stage sampling technique. Information from respondents was obtained using pretested semi-structured questionnaires and their weights and heights were measured and used to calculate their body mass index (BMI). Data collection was done from September to December, 2013. The BMI was used to classify them into those underweight, normal and overweight/obese using the IOTF criteria. Data analysis was done with Statistical Package for Social Sciences (SPSS) version 16. Results: The children differed significantly in their nutrition history and activity patterns according to their residence. With the IOTF criteria, the prevalence rates of underweight and overweight/obesity in the children from rural communities were 36.7% and 0.0% respectively; and 17.3% and 9.7% in the children from urban communities, respectively. Conclusion: Underweight is still a major problem among school-age children in Osun State, especially for those living in rural communities. There is also a rising trend of overweight/obesity in the urban communities in the State. A comprehensive school health program for the primary schools with emphasis on good nutrition is hereby recommended.
背景:由于不断推进的城市化和生活方式的相关变化,儿童超重/肥胖正在成为许多新兴国家的一个具有挑战性的问题,而营养不良还远未结束。因此,这项研究是在学校环境中进行的,目的是比较尼日利亚奥松州农村和城市社区学龄儿童体重状况的模式和决定因素。方法:采用多阶段抽样技术,从农村和城市社区各选取300名受访者。通过预先测试的半结构化问卷获得受访者的信息,测量他们的体重和身高,并用于计算他们的身体质量指数(BMI)。数据收集时间为2013年9月至12月。根据IOTF标准,BMI将他们分为体重过轻、正常和超重/肥胖。数据分析使用社会科学统计软件包(SPSS)版本16完成。结果:不同居住地儿童的营养史和活动方式存在显著差异。根据IOTF标准,农村社区儿童体重不足和超重/肥胖患病率分别为36.7%和0.0%;城市社区儿童的患病率分别为17.3%和9.7%。结论:体重不足仍然是奥松州学龄儿童的一个主要问题,特别是那些生活在农村社区的儿童。在该州的城市社区中,超重/肥胖的趋势也在上升。兹建议为小学制订一项以良好营养为重点的综合学校保健方案。
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引用次数: 9
Diet and thyroid - myths and facts 饮食和甲状腺-神话和事实
Pub Date : 2014-07-01 DOI: 10.4103/2278-019X.131954
K. V. S.Hari Kumar, Ruchita Sharma, S. Bharti
Thyroid gland is located in the neck and synthesize thyroid hormones, which have an indispensable role in the metabolic functions of the body. Iodine is an essential compound for the synthesis of thyroid hormones and is mostly derived from the environment. Other important nutrients for the thyroid function include selenium, iron, Zinc and vitamin A. Dietary alterations of the micronutrients lead to structural and functional alterations in thyroid function. The alternative medical practitioners and nutritionists advocate plenty of dietary modifications without a scientific rationale. In this article, we review the role of dietary micronutrients in thyroid physiology and dispel few myths surrounding the same topic.
甲状腺位于颈部,负责合成甲状腺激素,在人体的代谢功能中起着不可缺少的作用。碘是合成甲状腺激素的必需化合物,主要来源于环境。其他对甲状腺功能重要的营养素包括硒、铁、锌和维生素a。饮食中微量营养素的改变会导致甲状腺功能的结构和功能改变。另类医疗从业者和营养学家提倡大量的饮食调整,但没有科学依据。在本文中,我们回顾了膳食微量营养素在甲状腺生理中的作用,并消除了围绕同一主题的一些神话。
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引用次数: 19
期刊
Journal of Medical Nutrition and Nutraceuticals
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